NACE Pharmacological and Parenteral Therapies 3

Question 1

Which medication requires the nurse to monitor for ototoxicity as a serious adverse effect?

Accepted Answer

Gentamicin

Answer

Amoxicillin

Answer

Metformin

Answer

Lisinopril

Question 2

A nurse is preparing to administer the first dose of an ACE inhibitor. Which assessment finding would cause the nurse to hold the medication?

Accepted Answer

Blood pressure of 84/56 mmHg

Answer

Heart rate of 82 bpm

Answer

Potassium level of 4.2 mEq/L

Answer

Serum creatinine of 1.0 mg/dL

Question 3

Which IV solution is considered isotonic and is commonly used for fluid replacement?

Accepted Answer

0.9% Normal Saline (NS)

Answer

D5W 0.45% NaCl

Answer

3% Hypertonic Saline

Answer

0.45% Half Normal Saline

Question 4

A patient is receiving a blood transfusion and develops chills, fever, and back pain 15 minutes into the infusion. What should the nurse do first?

Accepted Answer

Stop the transfusion immediately

Answer

Slow the infusion rate and administer acetaminophen

Answer

Increase the IV flow rate to dilute the blood product

Answer

Continue the transfusion and monitor closely

Question 5

Which teaching point is most important for a patient prescribed warfarin?

Accepted Answer

Maintain consistent intake of vitamin K-containing foods

Answer

Take the medication with a full glass of milk

Answer

Double the dose if a dose is missed

Answer

Take over-the-counter ibuprofen for headaches

Question 6

A nurse is preparing to administer potassium chloride (KCl) 40 mEq IV. Which safety precaution is essential?

Accepted Answer

Dilute and administer via infusion pump at no more than 10 mEq/hour

Answer

Administer by IV push for rapid correction

Answer

Administer undiluted through a peripheral line

Answer

Give the full dose over 15 minutes